MDFMR ADVANCEMENT COMMITTEE OVERVIEW/draft Members: Jenny Pisculli, Chair
Harry Colt, Member Ex-Oficio Kat Brandt
Karen Gershman
Tom Leeson
Chris Lutrzykowski
Katje Musgrave
Andy Rice
Chris Ross
Jenifer Van Deusen
Nancy Weingarten Purpose: To serve as the group that evaluates residents’ educational progress and attainment of competencies.
The goals of the Advancement Committee will be to: -identify strengths and weaknesses; -review residents self evaluation and goals; -plan to address resident goals or any weakness identified; and -make the direct giving and receiving of constructive feedback a collaborative process and cultural norm. Meetings: 2nd Monday of
4th Wednesday of each block
7:30 – 9:00 am
Over V-Tel in both sites Process:
Each resident will be evaluated by the Advancement Committee 2x a year, following a pre-determined schedule. A staff member will gather information about the resident, based on a standard list of artifacts and information (see partial list below), and the resident will be encouraged to select items that showcase her/his learning. There will be some variation between artifacts and information gathered on residents, depending previously identified concerns or issues from her/his last evaluation.
Artifacts will include items that reflect actual resident work, such as samples of H&Ps, discharge summaries, taped patient encounters with the office note from that visit, etc. The committee will determine what information and artifacts need to be gathered to determine competency in the seven domains of the ACGME/AOA.
These artifacts and this information will eventually be gathered into an electronic portfolio, designed to reflect the residents’ growth as shown by their own authentic products.
The resident will meet with his/her advisor periodically. The first meeting of each year will include a self-assessment and creation of the Individualized Learning Plan (attached), and the final one of each year will reflect on results of the plan. The resident and her/his advisor will participate in the Advancement Committee evaluation of that resident. When the Advancement Committee determines that a resident is “in trouble,” a more directed evaluation and plan will be created. Then, if needed, the Advancement Committee can recommend remediation, which would be a separate process. The deliberations of the Advancement Committee will be summarized and presented monthly to the faculty at large.
Information & Artifacts: (partial list) Overall: ¶Promotion Criteria Form by PGY ¶Summative Evaluation Form <trimester & annual, in development> ¶Themes from Formative Global Rotation Evaluations ¶Results from Encounter (e)Cards <in development> ¶Documented Number of Outpatient Visits ¶Documented Number of Nursing Home Visits ¶Documented Number of Home Visits ¶Documented Number of Deliveries ¶Documented Number of Continuity Deliveries ¶Documented ICU Visits
Patient Care: ¶Chart Audit ¶Patient Satisfaction Survey Results ¶Samples of H&P ¶Sample discharge summary ¶Videotaped patient encounters with the office note from that visit ¶OSCE Results ¶Results for Standardized Patients ¶Direct Observation Checklists Medical Knowledge: ¶Chart Review ¶Mock Oral Exams (videotaped?) ¶Study Group Results ¶Scholarly Project ¶Intraining Exam Scores ¶COMLEX/ USMLE Scores ¶Documented Conference/ Clinical Skills Attendance ¶Documented Required Procedures
Interpersonal & Communication Skills: ¶SEGUE Format Observation of Patient Visit/videotaped ¶360-degree evaluations
Integrative Medicine/Osteopathic Principles & Practice: ¶Chart Review ¶COMLEX ¶IMR/ Observation Form Process: 1.Resident reflects on own learning needs and makes notes on Individualized Education Plan (IEP, attached). 2.Advisor meets with Resident at the beginning of the year. At this meeting, they work together on developing IEP, determining areas of strength and growth and creating some goals & strategies for the resident to enhance growth areas. 3.Advisor sends copy of IEP to Advancement Committee staff/member jvd. 4.Advancement Committee members are pre-assigned Residents to present at pre-scheduled meetings. 5.Staff/ member (jvd) assists Advancement Committee members in preparing presentation of residents at meetings. 6.Advisor and Resident attend pre-scheduled Advancement Committee meeting. 7.Pre-assigned Advancement Committee member presents Resident goals & progress to Committee, assisted by Resident and Advisor. 8.Advancement Committee, Advisor & Resident discuss strengths & growth areas, and design targets for next evaluation session. 9.Advisor meets with Resident toward the middle of the year. At this meeting, they work together on reviewing the IEP, assessing areas of strength and growth and seeing where Resident is on work toward set targets. 10.Staff/ member (jvd) assists Advancement Committee members in preparing presentation of residents at meetings. 11.Advisor and Resident attend pre-scheduled Advancement Committee meeting. 12.Pre-assigned Advancement Committee member presents Resident goals & progress to Committee, assisted by Resident and Advisor. 13.Advancement Committee, Advisor & Resident discuss progress toward targets set at last evaluation session, and design new targets for the next session.
A portfolio…. •Is a collection of artifacts/ products/logs created/prepared by the resident and others •Chronicles a learner’s evolving competence •Provides evidence of learning and achievement related to a learning plan •Contains written documents; can include video/audio, photographs and other forms of information •Enables the resident and her/his teachers to reflect on what has been learned Adapted from http://www.acgme.org/Outcome/assess/Toolbox.pdf Measurement of General Competencies, Acad. Med., 3/09
MDFMR ADVANCEMENT COMMITTEE OVERVIEW/draft
Members:
Jenny Pisculli, Chair
Harry Colt, Member Ex-Oficio
Kat Brandt
Karen Gershman
Tom Leeson
Chris Lutrzykowski
Katje Musgrave
Andy Rice
Chris Ross
Jenifer Van Deusen
Nancy Weingarten
Purpose:
To serve as the group that evaluates residents’ educational progress and attainment of competencies.
The goals of the Advancement Committee will be to:
- identify strengths and weaknesses;
- review residents self evaluation and goals;
- plan to address resident goals or any weakness identified; and
- make the direct giving and receiving of constructive feedback a collaborative process and cultural norm.
Meetings:
2nd Monday of
4th Wednesday of each block
7:30 – 9:00 am
Over V-Tel in both sites
Process:
Each resident will be evaluated by the Advancement Committee 2x a year, following a pre-determined schedule. A staff member will gather information about the resident, based on a standard list of artifacts and information (see partial list below), and the resident will be encouraged to select items that showcase her/his learning. There will be some variation between artifacts and information gathered on residents, depending previously identified concerns or issues from her/his last evaluation.
Artifacts will include items that reflect actual resident work, such as samples of H&Ps, discharge summaries, taped patient encounters with the office note from that visit, etc. The committee will determine what information and artifacts need to be gathered to determine competency in the seven domains of the ACGME/AOA.
These artifacts and this information will eventually be gathered into an electronic portfolio, designed to reflect the residents’ growth as shown by their own authentic products.
The resident will meet with his/her advisor periodically. The first meeting of each year will include a self-assessment and creation of the Individualized Learning Plan (attached), and the final one of each year will reflect on results of the plan. The resident and her/his advisor will participate in the Advancement Committee evaluation of that resident. When the Advancement Committee determines that a resident is “in trouble,” a more directed evaluation and plan will be created. Then, if needed, the Advancement Committee can recommend remediation, which would be a separate process. The deliberations of the Advancement Committee will be summarized and presented monthly to the faculty at large.
Information & Artifacts: (partial list)
Overall:
¶ Promotion Criteria Form by PGY
¶ Summative Evaluation Form <trimester & annual, in development>
¶ Themes from Formative Global Rotation Evaluations
¶ Results from Encounter (e)Cards <in development>
¶ Documented Number of Outpatient Visits
¶ Documented Number of Nursing Home Visits
¶ Documented Number of Home Visits
¶ Documented Number of Deliveries
¶ Documented Number of Continuity Deliveries
¶ Documented ICU Visits
Patient Care:
¶ Chart Audit
¶ Patient Satisfaction Survey Results
¶ Samples of H&P
¶ Sample discharge summary
¶ Videotaped patient encounters with the office note from that visit
¶ OSCE Results
¶ Results for Standardized Patients
¶ Direct Observation Checklists
Medical Knowledge:
¶ Chart Review
¶ Mock Oral Exams (videotaped?)
¶ Study Group Results
¶ Scholarly Project
¶ Intraining Exam Scores
¶ COMLEX/ USMLE Scores
¶ Documented Conference/ Clinical Skills Attendance
¶ Documented Required Procedures
Interpersonal & Communication Skills:
¶ SEGUE Format Observation of Patient Visit/videotaped
¶ 360-degree evaluations
Professionalism:
¶ OSCE Results
¶ 360-degree evaluations
¶ Patient Satisfaction Survey Results
Practice-Based Learning & Improvement:
¶ Chart Review <EMR>
¶ Quality Improvement Project
¶ Mock Oral Exams
¶ Scholarly Project
System-Based Practice:
¶ Patient Satisfaction Survey Results
¶ 360-degree evaluations
¶ Chart audits (cost-effective care)
Integrative Medicine/Osteopathic Principles & Practice:
¶ Chart Review
¶ COMLEX
¶ IMR/ Observation Form
Process:
1. Resident reflects on own learning needs and makes notes on Individualized Education Plan (IEP, attached).
2. Advisor meets with Resident at the beginning of the year. At this meeting, they work together on developing IEP, determining areas of strength and growth and creating some goals & strategies for the resident to enhance growth areas.
3. Advisor sends copy of IEP to Advancement Committee staff/member jvd.
4. Advancement Committee members are pre-assigned Residents to present at pre-scheduled meetings.
5. Staff/ member (jvd) assists Advancement Committee members in preparing presentation of residents at meetings.
6. Advisor and Resident attend pre-scheduled Advancement Committee meeting.
7. Pre-assigned Advancement Committee member presents Resident goals & progress to Committee, assisted by Resident and Advisor.
8. Advancement Committee, Advisor & Resident discuss strengths & growth areas, and design targets for next evaluation session.
9. Advisor meets with Resident toward the middle of the year. At this meeting, they work together on reviewing the IEP, assessing areas of strength and growth and seeing where Resident is on work toward set targets.
10. Staff/ member (jvd) assists Advancement Committee members in preparing presentation of residents at meetings.
11. Advisor and Resident attend pre-scheduled Advancement Committee meeting.
12. Pre-assigned Advancement Committee member presents Resident goals & progress to Committee, assisted by Resident and Advisor.
13. Advancement Committee, Advisor & Resident discuss progress toward targets set at last evaluation session, and design new targets for the next session.
A portfolio….
• Is a collection of artifacts/ products/logs created/prepared by the resident and others
• Chronicles a learner’s evolving competence
• Provides evidence of learning and achievement related to a learning plan
• Contains written documents; can include video/audio, photographs and other forms of information
• Enables the resident and her/his teachers to reflect on what has been learned
Adapted from
http://www.acgme.org/Outcome/assess/Toolbox.pdf
Measurement of General Competencies, Acad. Med., 3/09